EHR Immunization Functional Profile

The HL7 Electronic Health Record (EHR) Immunization Functional Profile Project is an activity of the HL7 EHR Work Group, with contributions from other interested parties. (See project contributor list for further details.) The project will develop a Functional Profile of ISO/HL7 10781 EHR System Functional Model Release 2, focused on the immunization domain and derived from exemplary use cases.

Please subscribe to the HL7 EHR Work Group listserver for meeting announcements, agendas and updates on current work.

Note: DRAFT documents may be incomplete and are posted for Team review and discourse. Please take care to note their draft (tentative) status if referencing or sharing with others.

The Immunization Functional Profile Project (IFP) Team meets Tuesdays at 2PM ET. GoToMeeting: https://global.gotomeeting.com/join/798931918 Dial-in (US): +1 (571) 317-3122 Access Code: 798931918# Password: "HL7"

Key Project Contributions

• List of Contributors, Contributions and Readiness, revised 12 Sep 2016

Project Overview

• Immunization Functional Profile - Project Overview, revised 1 Feb 2018

Immunization Functional Profile - September 2018 Ballot Reconciliation

• Immunization Functional Profile - Ballot Reconciliation Worksheet, dated 9 Oct 2018

Immunization Functional Profile - January 2018 Ballot Package

• Immunization Functional Profile - Ballot Overview, revised 13 Dec 2017
• Immunization Functional Profile - Compiled Profile, revised 5 Dec 2017
• Immunization Functional Profile - Use Case Scenario Worksheet, includes 4 HL7 Immunization DAM Story Boards/Scenarios, 47 Immunization Integration Program Work Flows/Scenarios and 6 Work and Health User Stories/Scenarios, revised 14 Nov 2017

Immunization Functional Profile - January 2018 Ballot Reconciliation

• Immunization Functional Profile - Ballot Reconciliation Worksheet with Final Dispositions, dated 19 Jun 2018

Immunization Use Case Scenarios and Worksheet

• RDAM-Mapping Project 1431 Immunization Pilot Study Paper SEP2018
• RDAM-Mapping Project 1431 Immunization Pilot Study Brief SEP2018
• Immunization Functional Profile - Use Case Scenario Worksheet, includes 4 HL7 Immunization DAM Story Boards/Scenarios, 47 Immunization Integration Program Work Flows/Scenarios and 6 Work and Health User Stories/Scenarios, revised 14 Nov 2017
• Work and Health Scenarios (Part 1), Work and Health Functional Profile Team (led by CDC/NIOSH), revised 7 Aug 2017
• Work and Health Scenarios (Part 2), Work and Health Functional Profile Team, revised 28 Aug 2017
• Additional Use Cases/Scenarios Under Consideration, revised 11 July 2017
• IIP Analysis Worksheet, Data Requirements, References, Notes and Links, Julia Chan
• S&I Framework - Full Use Case Template
• S&I Simplification Core Matrix Version 3.4, dated 28 Dec 2015; See in particular Scenario/Event TAB for scenario pattern: Event Step, Actor, Event (Description), Inputs, Outputs, Actions; AND Common Actions TAB

Key References

• HL7 Immunization Domain Analysis Model, Release 1
• HL7 Immunization History Conformance Profile
• CDC Implementation Guidance for HL7 v2 Immunization Messages
• CDC Immunization Information System (IIS) Functional Standards
• Immunization Integration Program (IIP), a partnership of US Centers for Disease Control and Prevention (CDC), Chickasaw Nation Industries (CNI), HIMSS Innovation Center and ICSA Labs.
• IIP Immunization-Related Capabilities and Guidance, dated 23 Jan 2017
• Comparison of IIP and HL7 IDAM, David Tao, dated 23 Feb 2017
• Data Guidelines for the National Immunization Program v02, The Netherlands, Anneke Goossen, dated 27 Mar 2017
• Immunization Information System (IIS) Introduction and Overview, Noam Arzt, HLN Consulting
• MU 2015 Edition Test Methods and Test Procedures; See in particular Section §170.315(f)(1), Transmission to Immunization Registries

HL7 EHR/PHR System Functional Models and Profiles

• ISO/HL7 10781 EHR System Functional Model (EHR-S FM) Release 2; See in particular Section CP.6.2, Manage Immunization Administration, and Section CPS.6.2, Support for Immunization Administration
• ISO/HL7 16527 Personal Health Record System Functional Model (PHR-S FM) Release 1
• HL7 EHR Public Health Functional Profiles, including: Vital Records; Early Hearing Detection and Intervention; Chronic Diseases (Cancer Surveillance); Public Health Laboratory Interactions (Orders and Results); Occupational Disease, Injury, and Fatality; Health Statistics; Deep Vein Thrombosis and Pulmonary Embolism; Birth Defects; and Adverse Events
• HL7 EHR-S Functional Profiles
• DRAFT Meaningful Use 2015 Edition Functional Profile (based on ISO/HL7 10781 EHR-S FM), dated 27 July 2016; See in particular Section §170.315(f)(1), Transmission to Immunization Registries

Federal Health Information Model (FHIM)

• FHIM Main Page
• FHIM Immunization Domain, Galen Mulrooney, dated July 2016
• FHIM Immunization Data Element Spreadsheet, Galen Mulrooney, dated 26 July 2016

Tools

• CDC/NIST Immunization Testing Tool
• HL7 Conformance Testing (AEGIS, HL7 Testing Partner)
• Sparx Systems Enterprise Architect - Use Case Extensions
• Prometheus Beacon Use Case Editor

FHIR Fulfills EHR-S FM Requirements

• FHIR EHR-S Record Lifecycle Event Implementation Guide, based on EHR-S FM Record Infrastructure Section, published as part of the FHIR STU-3, Mar 2017
• FHIR EHR-S Record Lifecycle Event - AuditEvent Profile, published as part of the FHIR STU-3, Mar 2017
• FHIR EHR-S Record Lifecycle Event - Provenance Profile, published as part of the FHIR STU-3, Mar 2017